Active NPI
Shavon Davis, NP
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 277005792
- Practice address
- 2231 E 95TH St
Chicago, IL 60617-4804 - Phone
- (773) 768-7700
- Fax
- (773) 273-8915
- NPI assigned
- Aug 3, 2021
- Last updated
- Aug 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 277005792 | IL | Primary |
Addresses
Primary practice location
2231 E 95TH St
Chicago, IL 60617-4804
Mailing address
2231 E 95TH St
Chicago, IL 60617-4804
Phone (773) 768-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17960 Halsted St
Homewood, IL 60430-2014
Phone (708) 922-0911
2231 E 95TH St
Chicago, IL 60617-4804
Phone (773) 768-7700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277005792 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jencare Neighborhood Medical Center South Chicago, LLC | Current | Accepting new patients | |
| Illinois Urgent Care Professionals PLLC | Current | Accepting new patients | |
| PMR Illinois Holding, LLC | Current | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
10834B S Doty Ave
Chicago, IL 60628
Phone (773) 995-9911
2231 E 95th St
Chicago, IL 60617
Phone (773) 768-7700
2734 W 87th St
Chicago, IL 60652
Phone (773) 918-4700
7444 W Wilson Ave
Ste 102
Harwood Hts, IL 60706
Phone 2249996997101
17960 Halsted St
Homewood, IL 60430
Phone (708) 923-0911
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Local MD Urgent Care
- Family Medicine Physician
- Homewood, IL
- NPI 1215407812
-
dba Primary Care Consultants
- Family Medicine Physician
- Gary, IN
- NPI 1407985971
-
- Specialist
- Chicago, IL
- NPI 1164768354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1992479042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 E 95TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606174804",
"telephone_number": "773-768-7700",
"fax_number": "773-273-8915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 E 95TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606174804",
"telephone_number": "773-768-7700",
"fax_number": "773-273-8915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SHAVON",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-03",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "277005792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.